A weekly AI-generated digest of new research in applied clinical informatics.https://review.ajholmgren.com/https://review.ajholmgren.com/issue/1/https://review.ajholmgren.com/issue/1/The strongest signal comes from monitoring: a longitudinal study of four deployed clinical AI systems found validation-era performance did not persist, with calibration drift and label-independent signals like input missingness flagging decay before outcome-based surveillance could. Read it alongside a scoping review of 46 clinical AI evaluation frameworks, 88% aimed at investigational rather than deployed use. Ambient documentation is scaling fast — an AI scribe covered over a million emergency consultations across 48 Spanish hospitals with 93.9% transcription accuracy — but simulated interpreter-mediated visits show scribes propagate interpretation errors straight into the note, a safety gap for multilingual care. On interoperability, VA data link higher HIE volume to fewer community-care readmissions and deaths, yet more in direct care. And a multicenter randomized trial shows image-based AI meaningfully narrowing genotype searches for inherited retinal disease. • Spatially Integrated Electronic Health Record Prototype Improves Usability and Reduces Cognitive Load for Intensive Care Nurses: A Randomized Crossover Trial (Applied Clinical Informatics) • Quantifying and Visualizing Emergency Physician Workflow: Observational Time-Motion Study (JMIR Medical Informatics) • Adoption and utility of digital scribes in clinical practice - A scoping review (Intl J Medical Informatics) • Bridging the trust-adoption gap for AI scribes in rural communities: A machine learning approach using the 2024 Canadian digital health survey (Intl J Medical Informatics) • Deployment of an ambient AI scribe in emergency care: A 12-month evaluation in a large Spanish hospital network (Intl J Medical Informatics) • Propagation of Interpreter Errors by Ambient AI Scribes: Study Using Simulated Clinical Encounters (JMIR Medical Informatics) • Risk-Tiered Governance for Hospital Artificial Intelligence: A Framework Synthesis and Implementation Pathway (Applied Clinical Informatics) • Shadow AI in Swedish Health Care: Qualitative Analysis of Physicians' Free-Text Answers (J Med Internet Research) • Evaluation Frameworks for Clinical AI Incorporating Validation Strategies, Real-World Applicability, and Ethical Principles: Scoping Review (J Med Internet Research) • An Acceptance Criteria Framework for Determining the Implementation Fit of Custom Large Language Models in Public Health Interventions (J Med Internet Research) • A Secure User Interface for Preclinical Evaluation of AI in Patient Portal Message Management: Tutorial (JMIR Medical Informatics) • Validation is not enough: Longitudinal evidence of post-deployment fragility in clinical AI systems (PLOS Digital Health) • Comparison of Initial Artificial Intelligence (AI) and Final Physician Recommendations in AI-Assisted Virtual Urgent Care Visits (Annals of Internal Medicine) • Veteran health information exchange volume and 30-day readmissions, avoidable hospitalizations, and in-hospital mortality: evidence from community and Veterans Health Administration direct care (JAMIA) • From fragmented records to living evidence: health system-governed, artificial intelligence-driven, continuously updated real-world clinical data from Truveta (JAMIA Open) • From clinics to discoveries: harnessing national EHR interoperability for research (JAMIA Open) • Transparency in healthcare AI: Testing EU regulatory provisions against users' transparency needs (PLOS Digital Health) • Public support for regulating AI advice for mental health (Health Affairs Scholar) • Venture-Backed Maternal Health Startups and the Maternal Health Crisis (JAMA Health Forum) • Star Ratings and Willingness to Travel for Hospital Care (Health Economics) • Skill Deprioritization: Reorganizing in the Age of Generative Artificial Intelligence (Management Science) • The Indirect Disclosure Effect: How Disclosing Generative AI Use Impacts Human Creative Collaboration with AI (Information Systems Research) • Unraveling the Impact: An Empirical Investigation of ChatGPT’s Exclusion from Stack Overflow (Information Systems Research) • Evidence of How Electronic Reporting and Automated Auditing Affects Regulatory Compliance and Environmental Performance -- by Wayne B. Gray, Ronald Shadbegian, Ann Wolverton (NBER Working Papers) • Agentic Artificial Intelligence as a Catalyst for Administrative Modernization: The Beginning of the End for Traditional Fax Workflows in Healthcare (medRxiv (health systems and quality improvement)) • Healthcare unplugged: Disparities in broadband internet and health facility access among US counties (PLOS Digital Health) • Clinical Digital Health Engagement and Psychological Distress Among Adults (JAMA Network Open) • Modernizing the Front Door to Care: Evaluation of Veterans Administration Health Connect's Impact on Access, Utilization, and Patient Experience (Health Services Research) • Multilevel Factors Associated with Nonresponse to Patient-Reported Outcome Measures in Routine Radiation Oncology Care (medRxiv (health systems and quality improvement)) • Challenges implementing treatment guidelines in electronic health records: the American Diabetes Association Standards of Care as a case example (JAMIA Open) • Understanding end-user contexts and identifying design preferences of an artificial intelligence-based clinical decision support tool for early autism detection (JAMIA Open) • Factors associated with chronic pain clinical decision support use in primary care (PLOS Digital Health) • AI-based clinician decision support system for diagnosis of inherited retinal diseases: a multicenter, randomized trial (Nature Medicine) • Reducing Excessive Continuous Pulse Oximetry and Promoting Patient Safety: An Electronic Health Record-Based Quality Improvement Effort (J General Internal Medicine) • Evaluation of Provider Clinical Decision Support System Adoption Rates by Patient Race and Sex (medRxiv (health informatics)) • Development of a clinical trial knowledge management application for community oncology (JAMIA Open) • Automated Waitlists for Ambulatory Appointment Scheduling: Multisite, Mixed Methods Evaluation (J Med Internet Research) • Logic Models on Health Information Technology-Related Interventions: Scoping Review Across Disciplines (JMIR Medical Informatics)Thu, 30 Jul 2026 00:00:00 GMT